tag:blogger.com,1999:blog-18943510.post814104705804557696..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: The Limits of Lifestyle InterventionDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-18943510.post-91655754180687381682012-12-02T17:12:40.743-06:002012-12-02T17:12:40.743-06:00The findings of the study are not really surprisin...The findings of the study are not really surprising as tight control of diabetes has previously been shown to have little effect on preventing macrovascular events. Does not mean that exercise is not beneficial for other problems and in non diabetics.Joel Sherman MDhttps://www.blogger.com/profile/15302609163683972129noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-28007435148276810792012-10-30T13:06:15.067-05:002012-10-30T13:06:15.067-05:00Dr. Wes,
I think you are overgeneralizing the resu...Dr. Wes,<br />I think you are overgeneralizing the results of this study..."Suddenly, all health care cost savings bets are off. Suddenly, we have to re-tool, re-think our approach, understand and appreciate the limitation of lifestyle interventions to alter peoples' medical destiny." <br />All bets are off? No. Do we need to re-think our approach? Yes, but I do not think we need Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-68531142486821562802012-10-25T09:58:19.005-05:002012-10-25T09:58:19.005-05:00Wes,
Looking at the numberes in the study, it loo...Wes,<br /><br />Looking at the numberes in the study, it looks more like there so called intensive lifestyle intervention did not acheive very impressive results. Only a 6% change in body weight over 10 plus years? A 3 point reduction in systolic? Seems like medical intervention with anti-hypertensives and statins would blunt most of the parameters they monitored, so if they were still being Keithnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-74448002874295172312012-10-25T08:14:24.608-05:002012-10-25T08:14:24.608-05:00SYou are right about diet and exercise not being a...SYou are right about diet and exercise not being a panacea. Thank you very much for pointing out that illness is not a personal failure. Unfortunately almost no one else seems to appreciate that. Thus, the personal trainer at the new gym decided that my long qt syndrome was due to a lack of exercise anf my breast cancer was due to a poor diet. I can guarantee you that my diet is better than the Lisa https://www.blogger.com/profile/09324961653370110887noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-35391457461863252362012-10-24T23:25:06.618-05:002012-10-24T23:25:06.618-05:00Huh. Just stumbled onto this post while I was look...Huh. Just stumbled onto this post while I was looking for info on differentiating AVRT from AVNRT (I'm an EM doc). Your post derailed me a little!<br /><br />I'm not sure why your language is so strong, reacting to the Look AHEAD trial. Whatever the results of that trial, the cardiology literature is replete with studies that attest to the utility of exercise in both the primary Brooks Walshhttps://www.blogger.com/profile/16108633682893762401noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-29798305390543843262012-10-24T21:30:17.349-05:002012-10-24T21:30:17.349-05:00Common sense would tell us that one study does not...Common sense would tell us that one study does not change the general idea that a national agenda focused on healthy lifestyles could not benefit a lifelong campaign for increase in healthy outcomes.<br /><br />Last time I was in Vienna, Budapest, Prague, Moscow, Berlin, I was careful to observe a wonderful transportation system based on light rail, convenience, and some walking. What would we doAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-75217647985552573572012-10-24T14:52:01.436-05:002012-10-24T14:52:01.436-05:00Too late.
Major employers have tiered their emplo...Too late.<br /><br />Major employers have tiered their employee health benefit plans according to an employee's own health maintenance (the idea that it all is controllable if we eat right and exercise). <br /><br />The cashier at my local grocery store told me she was worried because she went out to eat the night before for a birthday party forgetting she had blood work to be done to judge Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-53631949932109728302012-10-24T10:57:50.184-05:002012-10-24T10:57:50.184-05:00I've seen this reported also. But it doesn'...I've seen this reported also. But it doesn't really matter. The damage has already been done. Everyone has bought into the idea that if you have a disease, it's your own fault. You should have eaten less and made your way to the tread mill. They aren't going to give up on that because if my cancer was beyond my control, you can't control whether or not you might get it. It'Lisa https://www.blogger.com/profile/09324961653370110887noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-61054236235798672682012-10-24T09:05:01.130-05:002012-10-24T09:05:01.130-05:00Maybe NPR is not considered main stream media but ...Maybe NPR is not considered main stream media but it was reported there two days ago.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-15571016941738192212012-10-24T07:11:50.030-05:002012-10-24T07:11:50.030-05:00And maybe stop telling me I'm a lousy doctor w...And maybe stop telling me I'm a lousy doctor who shouldn't get paid when my patients refuse to lose weight and exercise?Anonymousnoreply@blogger.com